Green Labeling Referral Fee Application

If you refer a project to the GreenPoint Rated program that is located in Los Angeles county and that project has received or will receive a GreenPoint Rated label, you are eligible to receive $200. Please complete the following information to begin the payment process. Note: You must also submit a copy of your W9. The W9 may be faxed to 213-927-3634 Attn: GBL Referral Payment.

* Required

First Name
*

This is a required question

Last Name
*

This is a required question

Street
*

Information used to mail rebate

This is a required question

City
*

Information used to mail rebate

This is a required question

State
*

Information used to mail rebate

This is a required question

Zipcode
*

Information used to mail rebate

This is a required question

E-Mail
*

This is a required question

Telephone
*

This is a required question

Project Name
*

The name of the Green Point Rated home or development

This is a required question

Project Address
*

The address of the GreenPoint Rated home or development

This is a required question

GreenPoint Rater Name
*

Used to confirm project is in GreenPoint Rated application system

This is a required question

Did the project fill out a seperate form requesting payment for getting the green label?
*